Provider Demographics
NPI:1134567019
Name:CUI-DELA CUEVA, DANICA (LMT)
Entity type:Individual
Prefix:MISS
First Name:DANICA
Middle Name:
Last Name:CUI-DELA CUEVA
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94-1114 KAAHOLO ST
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-1254
Mailing Address - Country:US
Mailing Address - Phone:808-485-7097
Mailing Address - Fax:
Practice Address - Street 1:2875 S KING ST STE 205
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-3564
Practice Address - Country:US
Practice Address - Phone:808-942-1144
Practice Address - Fax:808-942-1142
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI11689171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor